Maternal Newborn NCLEX RN Questions
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Question 1 of 5.
The nurse is caring for a client in labor. During a contraction, the nurse notes a decrease in fetal heart rate from 150 to 120 bpm. The heart rate slows for about 10 seconds and increases back to 150 bpm as the contraction ends. Which of the following correctly classifies this observation?
A. Late deceleration
B. Moderate variability
C. Early deceleration
D. Marked variability
Explanation: A fetal heart rate decrease to 120 bpm during a contraction, returning to baseline as the contraction ends, is an early deceleration (C), caused by head compression and considered benign. Late decelerations (A) occur after the contraction peak, indicating placental insufficiency. Moderate variability (B) describes baseline fluctuations, not decelerations. Marked variability (D) indicates extreme fluctuations, not specific to contractions.
Question 2 of 5.
The nurse is teaching a client about newly prescribed iron supplementation. Which of the following information should the nurse include?
A. To minimize an upset stomach, take the iron supplements with milk.
B. Consume the iron supplements with meals.
C. Take the iron supplement with orange juice.
D. Iron supplements may cause diarrhea, and you should eat foods low in fiber.
Explanation: Vitamin C (in orange juice) enhances iron absorption. Milk can inhibit absorption due to calcium, and iron is more likely to cause constipation than diarrhea.
Question 3 of 5.
The nurse is providing care to an 11-week pregnant client who is complaining about hemorrhoids. The nurse recognizes that hemorrhoids can occur due to pressure on the rectal veins from the growing fetus. Which of the following measures is not recommended for alleviating hemorrhoid pain in this client?
A. Instruct the client to use mineral oil to soften her stools.
B. Rest in a side-lying position daily.
C. Increase the client's fiber and water intake.
D. Apply a cold compress to the area.
Explanation: Mineral oil is not recommended during pregnancy due to potential nutrient absorption interference. The other measures help reduce hemorrhoid discomfort.
Question 4 of 5.
The nurse is caring for a client who is experiencing nausea associated with her pregnancy. The nurse should recommend that the client Select all that apply.
A. eat dry crackers before getting out of bed in the morning.
B. consume fluids at least 30 minutes before or after solid food.
C. lie down soon after eating.
D. brush their teeth immediately after a meal.
E. avoid overfilling your stomach.
Explanation: These measures help reduce nausea by stabilizing stomach acid and preventing overfilling. Lying down after eating or brushing teeth immediately may worsen nausea.
Question 5 of 5.
The nurse is preparing to measure the fundal height of a client at 16 gestational weeks. The nurse should prepare the client for this assessment by instructing the client to
A. lay in a side-lying position with the knees bent.
B. prepare for the insertion of an intravenous (IV) catheter.
C. not to eat or drink two hours after this assessment.
D. empty their bladder.
Explanation: An empty bladder ensures accurate fundal height measurement by reducing interference from a full bladder.
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